Maternal Intention to Breastfeed and Breastfeeding Outcomes in Term and Preterm Infants

Source: Department of Pediatrics, University of Iowa, UIHC, 8809 JPP, 200 Hawkins Drive, Iowa City, IA 52242, USA.

Objective: To determine the effect of intention to breastfeed on short-term breastfeeding outcomes in women delivering term and preterm infants.

Design: Data from the US Centers for Disease Control and Prevention’s Pregnancy Risk Assessment Monitoring System (PRAMS) for three states, Ohio, Michigan and Arkansas, during 2000-2003 were analyzed. SAS 9·1·3 and SUDAAN 10 statistical software packages were used for analyses.

Setting: Arkansas, Michigan and Ohio, USA.

Subjects: Mothers of recently delivered infants, selected by birth certificate sampling.

Results: Of 16 839 mothers included, 9·7 % delivered preterm. Some 52·2 % expressed definite intention to breastfeed, 16·8 % expressed tentative intention, 4·3 % were uncertain and 26·8 % had no intention to breastfeed. Overall 65·2 % initiated breastfeeding, 52·0 % breastfed for ≥4 weeks and 30·8 % breastfed for ≥10 weeks. Women with definite intention were more likely to initiate to breastfeed for ≥4 weeks and to breastfeed for ≥10 weeks compared with women with tentative intention. Levels of intention did not differ between women delivering preterm and term. Women delivering at <34 weeks were more likely to initiate breastfeeding and to breastfeed for ≥4 weeks, but less likely to breastfeed for ≥10 weeks, compared with those delivering at term. Women delivering between 34 and 36 weeks were less likely to breastfeed for ≥10 weeks than those delivering at term.

Conclusion: Prenatal intention to breast-feed is a powerful predictor of short-term breastfeeding outcomes in women delivering both at term and prematurely.

Pregnancy Risk Assessment Monitoring System (PRAMS), 2000-2003.

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1 Comment (+add yours?)

  1. naturallymum
    Oct 11, 2011 @ 00:51:50

    What fantastic statistics. Do you know how it compares to previous decades? I was amazed when 7/8 of my antenatal class intended to breastfeed. One expressed and bottle fed, one really struggled but still kept going for quite a while, three kept going to six months and three of us are still going (at eight months).

    Reply

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